Hannun bugun zuciya

Hanyar gyaran zuciya ta hagu hanya ce mai sassauƙan bututu (catheter) zuwa gefen hagu na zuciya. Ana yin sa ne don tantancewa ko magance wasu matsalolin zuciya.

Za a iya ba ku ɗan ƙaramin magani (mai kwantar da hankali) kafin fara aikin. Maganin shine don taimaka maka ka shakata. Mai ba da kiwon lafiya zai sanya IV a hannu don ba da magunguna. Za ku kwanta akan tebur da aka shaƙa. Likitanka zaiyi karamin huda a jikinka. An saka wani bututu mai sassauci (catheter) ta jijiyar. Za'a sanya shi a wuyan hannu, hannu ko ƙafarka ta sama (makwancin gwaiwa). Da alama za ku kasance a farke yayin aikin.

Ana amfani da hotunan x-ray kai tsaye don taimakawa jagorar catheters har zuwa zuciyar ku da jijiyoyin jini. Dye (wani lokaci ana kiransa "bambanci") za a shiga cikin allurar a jikinka. Wannan fenti zai haskaka kwararar jini ta jijiyoyin jini. Wannan yana taimakawa wajen nuna toshewar hanyoyin jini wadanda suke kaiwa zuciyar ka.

Ana motsa catheter ta cikin bawul aortic zuwa gefen hagu na zuciyar ka. Ana auna matsa lamba a cikin zuciya a cikin wannan matsayin. Hakanan za'a iya yin wasu hanyoyin a wannan lokacin, kamar:

• Ventriculography don bincika aikin bugun zuciya.
• Maganin jijiyoyin jini don duba jijiyoyin jijiyoyin jini.
• Angioplasty, tare da ko ba tare da ɗorawa ba, don gyara toshewar jijiyoyin ana yin su.

Hanyar na iya wucewa daga ƙasa da awa 1 zuwa awanni da yawa.

A mafi yawan lokuta, bai kamata ka ci ko sha ba har tsawon awanni 8 kafin gwajin. (Mai ba ku sabis na iya ba ku hanyoyi daban-daban.)

Za ayi aikin a asibiti. Za a iya shigar da kai a daren jarabawar, amma abu ne gama gari ka zo asibiti da safiyar aikin. A wasu lokuta, ana yin wannan aikin ne bayan an riga an shigar da kai asibiti wataƙila bisa gaggawa.

Mai ba ku sabis zai yi bayanin aikin da haɗarin sa. Dole ne ku sanya hannu a takardar izini.

Maganin kwantar da hankalin zai taimaka maka ka shakata kafin aikin. Koyaya, zaku kasance a farke kuma zaku iya bin umarni yayin gwajin.

Za a baku maganin sanyaya numfashi na gida (anesthesia) kafin a saka catheter din. Za ku ji danniya yayin da aka saka catheter. Koyaya, bai kamata ku ji wani ciwo ba. Wataƙila ka sami ɗan kwanciyar hankali daga kwance har yanzu na dogon lokaci.

Ana yin aikin don bincika:

• Cutar bawul na zuciya
• Ciwan ƙwayar zuciya
• Launin zuciya (kamar lahani na ɓangaren zuciya)
• Matsaloli tare da aikin zuciya

Hakanan za'a iya yin aikin don kimantawa da yiwuwar gyara wasu nau'in lahani na zuciya, ko don buɗe kunkuntar bawul na zuciya.

Lokacin da aka yi wannan aikin tare da maganin jijiyoyin jini don nazarin jijiyoyin da ke ciyar da jijiyar zuciya, zai iya buɗe katancen jijiyoyin ko kuma tsallake mashin. Wannan na iya zama saboda ciwon zuciya ko angina.

Hakanan za'a iya amfani da hanyar don:

• Tattara samfurin jini daga zuciya
• Ayyade matsa lamba da jini a cikin ɗakunan zuciya
• Picturesauki hotunan x-ray na ventricle na hagu (babban ɗakin famfo) na zuciya (ventriculography)

Sakamakon al'ada yana nufin zuciya daidai take a:

• Girma
• Motsi
• Kauri
• Matsa lamba

Sakamakon al'ada shima yana nufin jijiyoyi na al'ada ne.

Sakamako mara kyau na iya zama alamar cututtukan zuciya ko lahani na zuciya, gami da:

• Rashin Aortic
• Ciwon Aortic
• Ciwon jijiyoyin jini
• Fadada zuciya
• Raladdamar da mitral
• Mitral stenosis
• Urwararruwan jijiyoyin zuciya
• Defectunƙarar raunin atrial
• Defectaramar ƙwanƙwasa mara kyau
• Ajiyar zuciya
• Ciwon zuciya

Matsaloli na iya haɗawa da:

• Ciwon zuciya na Cardiac
• Diacarfafa zuciya
• Embolism daga yatsan jini a ƙarshen catheter zuwa kwakwalwa ko wasu gabobin
• Ciwon zuciya
• Rauni ga jijiyoyin jini
• Kamuwa da cuta
• Lalacewar koda daga bambanci (fenti)
• Pressureananan hawan jini
• Amsawa zuwa kayan bambanci
• Buguwa

Ciwan ciki - zuciyar hagu

• Hannun bugun zuciya

Goff DC Jr, Lloyd-Jones DM, Bennett G, et al; Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka a kan Ka'idodin Aiwatar da Ayyuka. 2013 ACC / AHA jagora kan kimantawa game da haɗarin zuciya da jijiyoyin jini: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan jagororin aiki. Kewaya. 2014; 129 (Sanya 2): S49-S73. PMID: 24222018 pubmed.ncbi.nlm.nih.gov/24222018/.

Herrmann J. Cardiac catheterization. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: sura 19.

Mehran R, Dengas GD. Hanyoyin jijiyoyin jijiyoyin jini da hoton intravascular. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: sura 20.